Tuesday, December 13, 2016

Prostate and Male Urinary Incontinence

The other night at dinner a friend was telling me that his buddy of over 30 years had to stop wearing khaki pants because he is embarrassed by wet spots caused by urination. I immediately asked him if his friend had a prostate procedure and the answer was yes, which he then followed up with the question - “why?”.

To understand the “why” you have to have a basic understanding of what the prostate is, where it is in the male body, and why a procedure may cause urinary incontinence.

First off, the loss of the ability to control urination by men is commonly caused by surgery or radiation treatments for prostate cancer. It may be a short term issue or can be a lifelong issue. Let’s drill down into the details to understand “why”.

Lets start with the basics of what the prostate is and what is does and how it helps hold urine. Urine is stored in the bladder after it is drained from the kidneys. The bladder holds the urine until there is an urge to urinate. The bladder is a hollow, muscular, balloon-shaped organ. Urine flows out of the bladder and leaves the body through a tube called the urethra. Urination occurs when muscles in the bladder contract and forces urine out of the bladder. While this is happening the muscles that surround the urethra relax an allow the urine to flow out.

Here’s where the prostate comes into the picture - it is a gland that surrounds the urethra.

An enlarged prostate gland can obstruct the urethra and can cause urination retention or other problems with urination.

Removing the prostate through surgery or destroying it through radiation (via external beans or use of radioactive seed implants) disrupts the way the bladder holds urine and can result in urine leakage. Radiation can also decrease the capacity of the bladder and cause spasms that force urine out. Surgery can also damage nerves that help control bladder function.

Surgeons and procedures have changed over the years to attempt to reduce these issues. When removing the prostate they may try to save as much of the area around the bladder and the sphincter muscles around the urethra reducing the damage to the sphincter. Doctor have also improved the process of how they place the radioactive seed implants that destroy the prostate while limiting damage to the bladder.

Any man who is going through surgery or radiation to treat prostate cancer should expect to develop some problems with urinary control. There are new techniques that may help some men only have temporary problems controlling urine, and many may regain full control of their bladder over time.

Treatments options may include (always speak with your doctor for any and all treatment options):

Pelvic floor exercises. Doctors will often start with behavioral techniques that train men to control their ability to hold urine. These exercises are often called “Kegal Exercises”

Supportive Care including behavior modifications. This often includes reduction in fluid intake, reducing/avoiding caffeine, alcohol, or spicy foods, and not drinking before bedtime. Regular and frequent urination and not waiting till the last minute to go may also be encouraged. Losing weight may also help. Medications that also interfere with incontinence may also be reviewed.

Medications may be reviewed as they can increase bladder capacity and decrease urination frequency.

Neuromuscular electrical stimulation is treatment used to retrain and strengthen week urinary muscles and improve bladder control. This treatment involves a probe being inserted into the anus and a current passed through the probe at a level below the pain threshold which causes muscle contraction. The patient is then taught to squeeze the muscles when the current is on. After the contraction the current is switched off.

Artificial sphincter is a patient controlled device mad of tree parts - a pump, a pressure-regulating balloon, and a cuff that encircles the urethra and prevents urine from leaking. Results from an artificial sphincter can cure or greatly improve up-to 70-80% of patients.

Bulbourethral sling is a device used to compress and suspend the urethra. It is made to help achieve ladder control.

Other surgery may also be available on your doctors recommendation to help men hold urine.

If you are experiencing male incontinence there are many products available to avoid embracing leaks through your clothing and also help control odors. Here is a link to our Male Incontinence Products that may help you live a more active and comfortable lifestyle after prostate surgery or radiation treatment.


To follow up on what started this discussion on why prostrate issues impact men and cause incontinence are: enlarged prostate may cause obstruction and flow of urine through the urethra making it difficult to urinate or control when to urinate. Treatments such as radiation and surgery will reduce or eliminate the prostrate, but may result in a reduction in bladder capacity and the inability to control urination and unwanted leakage. Luckily, treatments and surgeries are getting better. Any change in urination or feeling should be discussed with your doctor. Any treatments or changes to existing treatments should be discussed with your doctor.

Tuesday, December 6, 2016

Introducing All New Prevail Overnight Incontinenence Products

Prevail is introducing several new overnight use incontinence products to their excellent line of disposable incontinence products. Prevail is known quality, value and selection and we are pleased to announce these products aimed at the overnight and extended use levels of absorbency. These products are brand new and expected to start shipping in December 2016 - January 2017.

Prevail for Women Overnight Protective Underwear
  • Designed for comfort and dryness for overnight or extended use
  • Feminine look and feel in a disposable pull up underwear
  • Made specifically for women
Prevail for Men Overnight Protective Underwear
  • Designed for comfort and dryness for overnight or extended use
  • Masculine look and feel in a disposable pull up underwear
  • Made specifically for men
Prevail Overnight Bladder Control Pads

  • Designed for comfort and dryness for overnight or extended use
  • 16" long highly absorbent and comfortable pads
  • Individually wrapped for convenience
About Incontinence: Incontinence can effect anyone at different stages in life for a number of reasons. Whether you're a new mom experiencing bladder leaks for the first time or a caregiver assisting an aging parent, Prevail has you covered. They offer reliable, discrete, and comfortable incontinence solutions designed to help you take control of your life.

About Prevail - Prevail is a manufacturer of fine disposable incontinence products for a wide range of adult and child incontinence needs. They are manufactured in Pennsylvania with attention to quality, safety, sustainability and responsible sourcing practices by First Quality, a family owned company.

Saturday, December 3, 2016

Exercise & Mobilty for an Active Lifestyle as we Age


Mobility and flexibility get tougher as we age, our bodies change and we begin to feel limited in our movements.  Aging as well as injuries can put a damper on our active lifestyle, and we begin to struggle with motivation.  Any activity is good for the body, mind and soul it doesn’t have to be high impact, high intensity.  I guess what I’m trying to say, is you don’t have to kill yourself to feel like you are doing something good for your body.  



Every exercise, every movement has some sort of modification.  So if you are immobile, injured or just starting out, there is a modification just for you.  I found this site for ideas on how to get you started on some seated exercises, www.sitandbefit.org.  This fine organization is dedicated  healthy aging advocacy and believes that everyone has the right to feel good and age well - and I couldn't agree more!



Time to motivate and get your body moving.  Remember always check with your doctor and healthcare professional before getting started.




Peace and love-



April

Sunday, November 20, 2016

Exercise, Pain, and Healthy Aging

As we age our body changes over time. If you listen to your body, which most of us do not, it will signal to us when enough is enough. If we choose to push our bodies past the sensible limit, we end up with injuries that may take a while to heal. Paying attention to what your body needs is key to aging. One thing about aging we don’t really have control over are the aches and pains and wearing over time of the joints. 

According to Healthinaging.org, as you get older, your cartilage may start to deteriorate from the normal wear and tear of the passing years. The protective membranes and fluids in your joints begin to dry up. These changes may allow the bones to rub against each other painfully. You may also notice that some joints have changed shape—especially in your fingers or toes. You may feel stiff in the morning, or have aches and pains in some joints that never bothered you before. The joint may even become swollen and warm to the touch. These problems are common in older people. Usually, they are minor annoyances, but sometimes joint pain and deformities can make it very hard to function, and eventually you may need to have surgery or have the joint replaced.

Many joint problems can be managed by the primary care doctor. Others may be handled by:
  • Orthopedist (doctor specializing in the treatment of the musculoskeletal system) 
  • Physiatrist (doctor specializing in rehabilitation medicine) 
  • Physical therapist (healthcare professional that helps you maintain, restore or improve physical function due to injury, disease, or disability) 
  • Rheumatologist (a doctor who specializes in the treatment of the joints and connecting tissues)
The Most Common Types of Joint Problems:
  • Arthritis (or osteoarthritis) is the most common type of joint problem in older people. It usually affects knees, hips, hands, spine or sometimes shoulders. 
  • Rheumatoid arthritis is the second most common type of chronic arthritis. It is caused by an auto-immune reaction in which your body’s immune system mistakenly attacks joint tissues. Most typically, it involves the joints in your fingers, wrists, elbows, knees, ankles and toes. 
  • Other types of arthritis include gout or pseudogout. Sometimes, there is a mechanical problem in the joint, such as torn cartilage, that causes pain or inhibits movement in the joint. 
Types of joint problems that affect the soft tissues like muscles, tendons, and ligaments include:
  • Rotator cuff injuries 
  • Tendonitis 
  • Frozen shoulder 
  • Fibromyalgia 
  • Carpal tunnel syndrome 
  • Bursitis
How Common are Joint Problems? Osteoarthritis, which affects about 27 million Americans, is the main reason that so many people “slow down” as they get older. Half of Americans over the age of 65 have been told they have arthritis by their healthcare professional. Women are slightly more likely to get a diagnosis of arthritis than men. But, gout is more common in men, with an estimated six million people having experienced an attack of gout.

The other main types of chronic joint problems can occur in the older population are:
  • Calcium pyrophosphate dihydrate (CPPD) crystal deposition disease (including pseudogout) occurs in about half of all people between the ages of 80 to 90 years, although many have no symptoms. 
  • Fibromyalgia is usually first diagnosed in middle age, and affects 3-5% of women and about 0.5% of men. Chances of having fibromyalgia increase as you get older. Tendonitis is an inflammation of the connective tissue that attaches muscles to bones. This condition can occur in anyone but becomes more common in older people as tissues lose their flexibility. Rotator cuff problems occur most often in the 55-85 year old age group. The rotator cuff involves the tissues supporting the shoulder joint. About 30% of older people have tears in their rotator cuff muscles and tendons, but many have no symptoms. 
  • Carpal tunnel syndrome is pressure on a nerve in the wrist and may cause tingling, numbness and pain in the hand. It affects between four and ten million Americans, and older people are at higher risk of suffering from the condition. 
According to MedlinePlus.gov , exercise is one of the best ways to slow or prevent problems with the muscles, joints, and bones. A moderate exercise program can help you maintain strength, balance, and flexibility. Exercise helps the bones stay strong.

Talk to your health care provider before starting a new exercise program. It is important to eat a well-balanced diet with plenty of calcium. Women need to be especially careful to get enough calcium and vitamin D as they age. Postmenopausal women and men over age 65 should take 1,200 mg of calcium and 400 to 800 international units (IU) of vitamin D per day. If you have osteoporosis, talk to your doctor about prescription treatments.

According to eldergym.com , stretching is also an important part of elderly and seniors flexibility and will help offset the effects of normal decline in the flexibility of your joints, and help you remain active and independent.

As we age muscles become shorter and lose their elasticity. Aging can affect the structure of your bones and muscles causing pain and decreased range of motion in the shoulders, spine and hips. Stretching is an excellent way to relax and relieve tension if you incorporate breathing exercises and good posture in your stretching program. It becomes very important for seniors to maintain range of motion and your ability to move all joints normally with activities during the day.

Generally elderly and seniors stretching should be done 2 to 3 days per week, performing each stretch 3 to 5 times with a 20 to 30 second hold. Try one or two stretches for each body region If you would like to increase your flexibility, stretches should be performed 4 to 5 days per week. Remember that it is important to warm-up before beginning an elderly flexibility exercise program. The warm-up is an excellent place to use your stretching exercises.

General flexibility guidelines:
  • Warm up before stretching 
  • Don’t bounce during stretching. 
  • Don’t hold your breath during a stretch. 
  • Stretching should not cause pain, be gentle. 
  • Don’t combine turning and bending back exercises at the same time. To stretch the back relax in a chair by supporting yourself with your hands on your legs while leaning forward. 
  • When performing knee bends, don’t drop your buttock below the level of your knees. This places too much strain on your knees. Better to do shallow knee bends, keeping your feet apart and not locking the knees. Keep your back straight throughout the exercise. 
  • Avoid pressing the head backward during head rolls which can damage the vertebrae in your neck. Move the head gently from side to side, never too quickly. 
Remember, elderly and seniors flexibility training will only show benefits if it is done regularly with the correct form and duration of stretch.

So go ahead and give it a try, it can only help. But, as always, remember to check with your doctor or healthcare physician to make sure you are healthy enough to start any new exercise regiment.

Peace & Love - April Williams

Thursday, November 3, 2016

Eating Well as You Age

Eating well at any age is important, but it becomes even more important and key to keeping your body a “Well Oiled Machine,” as we age.  Eating well & eating clean sound like an easy task in theory but can be tough in reality.  Parties, get-togethers, illnesses and life in general tend to get in the way and can make it really difficult to stick to a healthy lifestyle.  Baby steps are key, maybe start with a few small changes you just may see a world of difference.

According to www.eatingwell.com , “A healthy diet and lifestyle are your best weapon against age-related diseases.  The nutrition experts EatingWell recommend the following eating tips for healthy aging:

Pack your diet with plant-based foods
Fruits, vegetables, whole grains and other plant-based foods are rich sources of phytochemicals, beneficial compounds that may help protect against age-related conditions like heart disease, high blood pressure and macular degeneration, a leading cause of blindness in older people. Fill at least two-thirds of your plate with vegetables, fruits, whole grains and beans and the remaining one-third or less with lower-fat sources of protein, like fish, poultry or lean meat. Choose vegetables and fruits that represent a rainbow of colors: dark leafy greens (e.g., kale and spinach), deep yellow and orange vegetables (e.g., corn and sweet potatoes), tomatoes and other red foods (e.g., bell peppers, strawberries) and blue and purple powerhouses like blueberries and purple grapes.

Keep weight in check
As you get older, your body loses lean body mass (muscle) and your metabolism, or the rate at which you burn calories, slows. Bottom line: Through the years, you’ll need fewer calories to maintain a healthy weight. Stay within a healthy range by filling up on lower-calorie nutrient-packed foods—particularly vegetables and fruits—and cut back on foods that contain a lot of fat or added sugars. Carrying around extra pounds can increase your chances of developing heart disease, diabetes, high blood pressure, joint problems and some cancers.

Go easy on fat
Eating some fat is important for health but certain fats are better than others. Vegetable oils like olive or canola are your best choices because they are high in heart-healthy monounsaturated fats and low in the saturated fats that are associated with increased risk for conditions including heart disease and cancer. Limit foods that are high in saturated fats: animal products like fatty red meats and full-fat dairy products.

Concentrate on calcium
Getting enough calcium (and vitamin D, see below) can help prevent osteoporosis, the leading cause of bone fractures in older adults (see our Bone Health Center). If you’re 50 or older, you need 1,200 mg of calcium. Good sources of calcium include low-fat dairy products, calcium-fortified soymilk and orange juice, and fish with edible bones (like canned salmon or sardines). Other food sources of calcium include dark green vegetables, such as kale, broccoli and okra. If meeting your calcium needs through food seems daunting, talk with your doctor about whether you may need a supplement.

Don’t forget about D
Vitamin D, which you need to absorb calcium properly, is a unique nutrient in that it’s available only in a few foods: fatty fish, egg yolks and fortified milk. We get most of our vitamin D through sun exposure: when UV light penetrates skin, skin cells produce a compound that the liver and kidneys convert to vitamin D. But as you age, skin becomes less efficient at synthesizing D. To meet increased needs with age, many experts recommend a supplement. (The recommended daily intake for people aged 51 to 70 is 400 IU; those over 70 need 600 IU—but many medical experts say that these recommendations are outdated and that most people, particularly those aged 50-plus, should aim for 1,000 IU.) Talk with your doctor about what’s best for you.

“B” aware of changing nutrient needs
As you age, your stomach produces less gastric acid, which makes it harder for the body to absorb vitamin B12—a nutrient that helps keep blood and nerves healthy—from natural food sources. (These include meat, fish, eggs and dairy products like yogurt and milk.) Since data suggest that up to one-third of older people can no longer absorb the vitamin from food, nutrition experts advise that people aged 50-plus get the recommended daily intake (2.4 mcg) of B12 from fortified foods, such as cereal or supplements. A multivitamin that supplies 100 percent the daily value should do you fine.

Keep moving!
It's never too late to reap the benefits of exercise. Research shows that regular exercise—at any age—not only helps prevent heart disease, diabetes, osteoporosis and some cancers, but also burns calories, gives you energy, relieves stress, helps you sleep better and improves strength and balance. What’s more, studies show exercise increases blood flow to the brain and may even help new brain cells grow, which keeps the mind sharp. The key to reaping the benefits of physical activity is sticking with it, so choose any exercise you enjoy and aim for at least 30 minutes of moderate activity a day.

If you drink, do so in moderation
Studies show that drinking moderate amounts of alcohol may protect against heart disease. But consuming alcoholic beverages may interfere with the effectiveness of certain medications. It also may increase the risk for some kinds of cancer. (The American Institute for Cancer Research recommends avoiding alcohol altogether.) It’s important to weigh for yourself the risks and benefits. If you decide to drink, limit alcoholic beverages to no more than two drinks a day for men and one for women.

Play it safe with food storage and prep
As you get older, your risk of food-borne illness increases (likely in part due to an aging immune system, say experts). Store and handle food properly (think: keeping your fridge at a safe temperature; avoiding cross-contamination in the kitchen).

So there you go, a few tips to consider incorporating to your daily routine.  As always be sure and check with your doctor before changing anything.  

Peace & Love – April Williams

Friday, September 23, 2016

Attitude Impact on Active Aging & Health

“Know that you are the perfect age.  Each year is special and precious, for you shall only live it once.  Be comfortable with growing older.” – Louise Hay

Don’t you wish it was that easy?  Attitude is everything, but life throws curves at you when you least expect it and it can ruin your whole day, month or year. What counts in life is how many times we get up after being knocked down and what we take away from each experience. 

Researchers at the Yale School of Public Health showed that, of two groups with different views of aging, the people who felt good about older people were 44 percent more likely to recover from a severe disability than those with negative views.

“This result suggests that how the old view their aging process could have an effect on how they experience it,” noted Becca Levy, PhD, director of the Social and Behavioral Sciences Division at the Yale School of Public Health, in a press release. “In previous studies, we have found that older individuals with positive age stereotypes tend to show lower cardiovascular response to stress and they tend to engage in healthier activities, which may help to explain our current findings.”

Recovery from disability was equated with being able to perform four routine activities: bathing, dressing, moving from a chair and walking. Doing well in these things is associated with longer life expectancy and lower use of healthcare facilities.

In general, studies show that people who maintain a positive attitude tend to make healthier lifestyle choices. According to a Mayo Clinic study, people with a positive attitude get more physical activity, follow a healthier diet and have lower rates of smoking and alcohol consumption.

According to HelpGuide.org, Mindfulness is the practice of purposely focusing your attention on the present moment—and accepting it without judgment.

Mindfulness is now being examined scientifically and has been found to be a key element in happiness. The cultivation of mindfulness has roots in Buddhism, but most religions include some type of prayer or meditation technique that helps shift your thoughts away from your usual preoccupations toward an appreciation of the moment and a larger perspective on life.

Mindfulness improves well being
  • Increasing your capacity for mindfulness supports many attitudes that contribute to a satisfied life.
  • Being mindful makes it easier to savor the pleasures in life as they occur, helps you become fully engaged in activities, and creates a greater capacity to deal with adverse events.
  • By focusing on the here and now, many people who practice mindfulness find that they are less likely to get caught up in worries about the future or regrets over the past, are less preoccupied with concerns about success and self-esteem, and are better able to form deep connections with others.

Mindfulness Improves Physical Health
If greater well-being isn’t enough of an incentive, scientists have discovered the benefits of mindfulness techniques help improve physical health in a number of ways. Mindfulness can:
  • Help relieve stress
  • Treat heart disease
  • Lower blood pressure
  • Reduce chronic pain
  • Improve sleep
  • Alleviate gastrointestinal difficulties
Mindfulness Improves Mental Health

In recent years, psychotherapists have turned to mindfulness meditation as an important element in the treatment of a number of problems, including:
  • Depression
  • Substance abuse
  • Eating disorders
  • Couples’ conflicts
  • Anxiety disorders
  • Obsessive-compulsive disorder

Some experts believe that mindfulness works, in part, by helping people to accept their experiences—including painful emotions—rather than react to them with aversion and avoidance.

It’s become increasingly common for mindfulness meditation to be combined with psychotherapy, especially cognitive behavioral therapy. This development makes good sense, since both meditation and cognitive behavioral therapy share the common goal of helping people gain perspective on irrational, maladaptive, and self-defeating thoughts.

Mindfulness Techniques


There is more than one way to practice mindfulness, but the goal of any mindfulness technique is to achieve a state of alert, focused relaxation by deliberately paying attention to thoughts and sensations without judgment. This allows the mind to refocus on the present moment. All mindfulness techniques are a form of meditation.

Basic mindfulness meditation – Sit quietly and focus on your natural breathing or on a word or “mantra” that you repeat silently. Allow thoughts to come and go without judgment and return to your focus on breath or mantra.

Body sensations – Notice subtle body sensations such as an itch or tingling without judgment and let them pass. Notice each part of your body in succession from head to toe.

Sensory – Notice sights, sounds, smells, tastes, and touches. Name them “sight,” “sound,” “smell,” “taste,” or “touch” without judgment and let them go.

Emotions – Allow emotions to be present without judgment. Practice a steady and relaxed naming of emotions: “joy,” “anger,” “frustration.”
Accept the presence of the emotions without judgment and let them go.

Urge surfing – Cope with cravings (for addictive substances or behaviors) and allow them to pass. Notice how your body feels as the craving enters. Replace the wish for the craving to go away with the certain knowledge that it will subside.


Another technique:

Learning to stay in the present
 
A less formal approach to mindfulness can also help you to stay in the present and fully participate in your life. You can choose any task or moment to practice informal mindfulness, whether you are eating, showering, walking, touching a partner, or playing with a child or grandchild. Attending to these points will help:
  • Start by bringing your attention to the sensations in your body
  • Breathe in through your nose, allowing the air downward into your lower belly. Let your abdomen expand fully.
  • Now breathe out through your mouth
  • Notice the sensations of each inhalation and exhalation
  • Proceed with the task at hand slowly and with full deliberation
  • Engage your senses fully. Notice each sight, touch, and sound so that you savor every sensation.

When you notice that your mind has wandered from the task at hand, gently bring your attention back to the sensations of the moment.

We live in a go, go, go society and tend to lose sight of the “stop and smell the roses,” mentality, or the keen awareness of a child.  If we but took time for these few actions, we just might enjoy life a little more and may forget the pains of aging for a short while.  Get started, what do you have to lose.

Peace & Love,
April Williams

Friday, September 2, 2016

Neuropathy Nerve Pain Causes & Helpful Food Supplements

Today I would like to talk a little bit about Neuropathy, and the foods and supplements that may help in curbing the pain caused by this ailment.

Neuropathy, Means nerve disease or damage to the nerves.  It can result in pain, tingling, burning or loss of feeling in hands and feet.

According to WEBMD:
Diabetes is one disease that can cause neuropathy.  There are three kinds of diabetic neuropathy. (Peripheral Neuropathy:  These are the nerves that sense pain, touch, hot and cold. They affect movement and muscle strength and the feet and lower legs are most often affected. The damage it causes gets worse slowly and over months and years.  Autonomic Neuropathy: These nerves control things like your heartbeat, blood pressure, sweating, digestion, urination and sexual function.  Focal Neuropathy: Most often affects one nerve, usually in the wrist, thigh, or foot, it can also affect the nerves of your back and chest and those that control your eye muscle. This type of damage usually happens suddenly.

Diabetes is not the only culprit, injuries, medications, and poisoning from metals, chemicals or medications can also be the cause.

In 2014, I was diagnosed with Stage II Breast cancer.  While going through chemo, I was plagued with the pain of nerve damage.  At a loss of not knowing what to do or how to differentiate one pain from another brought about by the infusions, my wonderful oncologist diagnosed me with Neuropathy.  After meeting with my oncologist, I also met with a nutritionist and they provided me a list of supplements and foods that might just help relieve this particular side effect.   Here are a few remedies and nutritional supplements that I tried and seemed to really help me heal.

ALA (Alpha-lipoic acid):  Is an antioxidant that is made by the body and helps to turn glucose (sugar) into energy. Research suggests taking 600mg a day is a safe dose.  Improvements are usually seen within 3-5 weeks.  ALA should only be used for up to four weeks.

Foods Rich in ALA:
  • Meat (organ meats) - No thank you, I took a pass!
  • Vegetables (broccoli, spinach, brussel sprouts, peas, tomatoes)
  • Yeast (Brewer's yeast)

GLUTAMINE:  Is an amino acid that has long been used in the treatment of medication side effects.  Research suggests 30g a day will reduce neuropathy pain.

This supplement has helped me tremendously.

Foods Rich in Glutamine:
  • Meat (fish,pork, chicken, turkey)
  • Beans
  • Dairy (milk, yogurt, ricotta cheese, cottage cheese)
  • Vegetables (spinach, cabbage, parsley)

VITAMIN B6: Is a vitamin that the body uses for metabolism. B6 is commonly found in meats, whole grains and vegetables.  Research suggests taking 50-100mg per day may help decrease tingling and numbness in your hands and feet.

Foods Rich in Vitamin B6:
  • Fish (cod, salmon, halibut, trout and tuna)
  • Vegetables (bell peppers, spinach, potatoes, peas, asparagus)
  • Nuts and Seeds (peanuts, sunflower seeds, cashews, hazelnuts)
  • Whole Grain Breads and Cereals
  • Beans (chickpeas, lentils, soybeans, kidney beans)

My all-time favorite Vitamin B6 breakfast recipe:

BANANA SPLIT OATMEAL: (This recipe has oatmeal, nuts and bananas which are a great source of Vitamin B6)
  • 1/2 cup dry old fashioned quick 1-min. oats
  • 1/4 cup frozen strawberries, microwaved
  • 1/4 cup bananas, sliced
  • 1 tbsp. semi-sweet chocolate chips
  • 2 tbsp. peanuts

Directions: Cook oats with enough water to achieve desired consistency.  Mix with microwaved frozen strawberries, sliced banana, chocolate chips and top with peanuts.

As always, check with your doctor first before trying any of these supplements.  What may work for me, may not work for you.  Every situation and treatment is different.

Peace & Love,

April Williams

Tuesday, August 30, 2016

Generic Drugs vs. Brand Name Drugs

Generic. When you hear this word you often associate it with not as good, cheap, or a knock off of something that is similar but not as good. Considering these thoughts, are generic drugs a bad thing or a good thing when compared to brand name drugs. Over the next few paragraphs we will explain what it takes for manufacturers to make generic drugs, how they are approved by the government for sale and use, and why there is nothing to worry about when considering generic drugs versus brand name drugs.

Generic Drugs are prescription medications that the US Federal Drug Administration, or FDA, has determined to have the same quality as brand-name drugs, but at a cheaper price. In fact, if you’ve had a prescription filled recently there’s a good chance that you are taking a generic drug. Almost 80% of prescription drugs sold are generic, which helps save patients, hospitals and insurance company billions of dollars each year.

The big question is how does the FDA ensure that a drug meets the same standards as a brand name drug? The criteria they consider that matters to you as the patient are:
  • The drug can be taken in the same way as the brand name drug
  • The drug is taken for the same reason as the brand name drug
  • It must have the same active ingredient as the brand name drug
  • It must be the same strength as the brand name drug
  • It must have the same use and effect as the brand name drug
  • It must be taken in the same way as the brand name drug (pill, inhaler, liquid, etc)
  • It must have the ability to reach the required level in your bloodstream at the right time for the same extent
  • It must meet testing standards
Well, that is great, but what is the difference between a generic drug and brand name drug? Generics may differ in the following:
  • Shape
  • Color
  • Packaging
  • Labeling (minor differences)
  • They may have different inactive ingredients such as flavor, color or preservatives. The inactive ingredients in a generic drug must be consider safe by the FDA.
When you think about the price difference you have to wonder how the drug manufacturers are able to make money pay for research, development, advertising, and distribution. The FDA has set up policies to allow drug manufacturers the ability to recoup these costs by providing them with patent protection when they are first sold. These patents give the brand name manufacturer exclusive rights to produce and sell the drugs for a limited time, with an average patent protection time of 12 years. When the patent period ends, other companies can then manufacture and sell a generic version which they can do for a lower price.

Generic drugs introduce the possibility of multiple manufacturers producing the same drug, thereby creating a more competitive pricing environment to benefit the end user.

So, are generic drugs as effective as brand-name drugs? In short the answer is absolutely yes. If you have any questions about generic drugs do not hesitate to consult your doctor. Also, here is a link to the FDA’s Drug Resources Questions and Answers with official clarification from the US government.

Sunday, August 28, 2016

Aging Gracefully

You don't stop laughing when you grow old, you grow old when you stop laughing.”
George Bernard Shaw


Aging gracefully, everyone has heard that term, especially reaching a certain age category, but what does it really mean? We all have our own ideas and thoughts, but how do we truly embrace the signs of aging and continue to power through life with dignity as we are faced with the complications old age brings?

"For some reason, our society is very obsessed with pointing out negative aspects of aging," says Susan Whitbourne, PhD, professor of psychology at the University of Massachusetts, Amherst. She is also the past president of the American Psychological Association's Division on Aging.

Yes, getting older is rife with emotional landmines, gerontologists say, including fears of losing one's independence or getting a serious illness.

Experts say the keys to successful aging include accepting change, finding meaningful activities and relationships.  It may not be easy, but attitude matters a lot.

We all have one thing in common and that is growing old, whether we like it or not.  We live in a time where there is so much out there to assist in stopping and reversing the aging process, you could go broke. Even with all the help you can get, it doesn’t’ change the fact that our mind believes were20 and our body being the voice of reason says otherwise.

Balance in ones life is so important, "Balance is key to everything. What we do, think, say, eat, feel, they all require awareness, and through awareness we can grow". - Kori Fresco.

This is just the start of what's to come. I will be discussing the importance of balancing all three, the mind, the body, and the spirit, in future posts. Until then "keep on keeping' on" - Joe Dirt. 

Peace and Love-
April

Thursday, June 23, 2016

Caregiving for People New to Incontinence

When dealing with incontinence as an adult, especially if this is a new situation, it is very important to consider the emotional well-being and dignity of the individual. There is no singular cause of adult incontinence and it may be brought on by many situations including child births, disease, injury, certain medications, infection, or other conditions out of the control of the individual. If this is a new situation is is important to speak with a doctor or health care provider to help find the cause and provide advice for proper care. Click here for information about ways to help speak with your doctor about incontinence.

Types and Levels of Incontinence
You should always consider the feelings of the individual dealing with incontinence. They may be embarrassed, angry, confused, in denial, or ignoring symptoms hoping that they will go away. Many times a caregiver will be a family member or somebody close to the individual that is new at dealing with the situation and corresponding conversations. Being a caregiver can be a demanding job dealing with both the physical and psychological issues.

Recognize the Emotional Support Needed
Be sure to recognize and support an individual that has made the decision to seek help. Allow them to speak about their concerns and think about how you would want to be treated if the roles were reversed. The ultimate goal is to educate and provide the best possible care and solutions to the issues surrounding incontinence. Be supportive and resourceful and be willing to apply yourself willingly with a positive attitude to protect and maintain a positive relationship. And remember when dealing with adults - they are adults and this is a tough situation for them to be addressing.

Kinds of Wearable Products that are Available
Many people find themselves trying to determine what they need and start by asking all kinds of questions. For example, where should I start and what am I looking for to solve this because there are so many options? What is the difference between a pad and a brief (also known as “adult diapers”). Are there pull-ups for adults so they can dress themselves?

You can start by addressing the level of incontinence. Is is a couple of drops here and there, are there times when the urge to go comes too late to make it to the toilet, or is there a need for a wearable product to ensure there are no “accidents”. Click here for more information on types and levels of incontinence.

Once you have identified the absorbency requirements you can consider the actual types of wearable products to consider for use. Here is a link to the types of products available to wear including information about the differences between pads, briefs/adult diapers, and pull-ups/ protective underwear. Understanding your options, how they work, and the absorbencies they are available in will help you narrow down your selection process.

Other Products Needs for People with Incontinence
Many people new to incontinence care also wonder what other types of products may be needed. It is very important to keep skin clean and healthy.  Keeping skin healthy is more comfortable and much easier to deal with than trying to repair damaged skin or clear up a nasty diaper rash. Here is a link to skin cleansing and skin care products to help keep skin healthy. Avoid skin cleansers with harsh soaps or alcohol to ensure that fragile and sensitive skin is not irritated.

Keeping the environment clean and fresh smelling will benefit both caregiver and patient. Simply covering up smells with perfumes is a temporary solution. Consider biological odor eliminators like those used in hospitals and healthcare environments. These deodorizers attack and neutralize odors to make for a more pleasant environment for all. Also, surface disinfectants for hard nonporous surfaces will help keep your environment clean and healthy.

Disposable gloves for medical care are also a very inexpensive way to keep a barrier between you and urine and or feces. There are many types of gloves including vinyl, nitrile and latex available for caregivers.

Summary
If new or increasing issues with incontinence are occurring see a doctor or healthcare provider. Identify the level of protection needed and the type of wearable incontinence products that best fit your need, keep skin healthy and clean, and maintain a fresh smelling environment pleasant to caregiver and patient.

Tuesday, June 14, 2016

Diaper Rash caused by Adult Incontinence

Yes, adults can get diaper rash just like children. Diaper rash is often caused by incontinence soiling and the subsequent  rubbing of skin by clothing or incontinence garments. It can also be caused by sweat and clothing rubbing on skin. Any fluid and rubbing by garments can cause an irritation and followed by a rash. Most times these rashes can be identified and treated quickly. If left unattended it may take more effort (and considerable discomfort) to treat.

Adult Diaper Rash (aka diaper dermatitis) is a skin condition caused by skin rubbing against a diaper or pad, and contact with the chemicals in urine and stool. The skin may look red, raw, scalded or burned. It can occur at any age if diapers, protective underwear or pads are used. As stated bore, it is not strictly a child or baby related issue.

It often happens in adults when a rash occurs in the genital area in an area is not cleaned well. Skin irritations can also be caused by products that have perfumes or are allergenic. Fungal or bacterial infections may also cause diaper rash. The skin may appear to be red and swollen with a mild rash or blister and peel in a severe rash. A diaper rash that becomes raw, oozes fluid or bleeds will be harder to treat and advice from a doctor or healthcare professional may be required.

It is very important to deal with diaper rash at the earliest signs of discomfort and the rash appearing. The farther along and more severe the rash the more difficult it is to treat and cure.

The most common causes of diaper rash are:
  • Not changing a wet or soiled incontinence product enough. Skin in contact with urine and/or stool becomes irritated.
  • Rubbing of the skin by an incontinence pad, diaper or protective underwear product. This may cause irritation in areas including thighs, genitals, buttocks, or belly area.

We hate to mention it, but neglect by a caregiver that does not treat a diaper rash at the time treatment is needed. We hope that this is never the case, but there have been issues where caregivers do not treat a diaper rash because of anger directed at a vulnerable adult.

Sometimes a diaper rash may occur with other skin conditions including psoriasis, atopic dermatitis, or seborrhea. The rash may be red or oozing. A crust may form. There will often times be similar patches of rash on other parts of the body.

Diaper rash is uncomfortable and can lead to worse skin issues and wounds. The earlier they are identified and treated the better. Avoiding getting a rash all together is an even better approach.

Tips for controlling and treating diaper rash:

  • Keep the skin dry. Also, make sure that the skin is not in contact with urine or stool.
  • Change the adult diaper, protective underwear, or pad every time is is wet or soiled. It is advisable to check the garment every three house during the day. Changes may be needed during the night to prevent or clear up a rash.
  • Gently wash the diaper area with warm water and a soft cloth. Rinse well and dry completely. There are many mild no-rinse and rinse skin cleansers available for incontinence perineal skin cleansing to help aid in the cleaning and healing process.
  • Do not use soap unless the are is very soiled. Use only a mild soap if soap is needed.
  • Do not use wipes or baby wipes that have alcohol or propylene glycol if diaper rash is present. They may burn the skin and spread bacteria. Most adult wipes are formulated without these chemicals to ensure the most comfortable cleaning possible.
  • You might want to try using a blow dryer on the warm setting to get the area fully dry (this technique shouldn’t be used on babies or small children.

If possible, leaving diapers, protective underwear or pads off for a time may promote air circulation that keeps skin dry and promotes comfort and healing.

Protect the the healthy skin near the rash with protective lotions or creams. Be careful not to apply creams to broken skin unless directed as it may slow the healing process. Use of a lotion, cream or ointment that is formulated for sensitive skin and free of harmful perfumes and allergens. Also, a moisture barrier cream or lotion will help keep moisture out allowing skin to comfortable heal. Be sure to be gentle when applying any lotion or cream to sensitive skin.

Use a disposable incontinence product with absorbent gelling material (super absorbent microbeads) as these will pull moisture away from the skin.

Showering or bathing multiple times throughout the day and gently drying the area may help. Reapply lotions, creams, or ointments after drying.

Do you have any suggestions on dealing with adult diaper rash that might benefit others? If so, please leave detailed comments on this post. Thank you!

Please note you should consult with your doctor or healthcare professional with any diaper rash or skin care issue to ensure you are taking the proper steps to treat the issue. The information provided is of a general nature and should not be considered not medical advice. 

Sunday, June 12, 2016

Why Does Urine Smell?

Urine is the body’s liquid waste that is primarily composed of water, salt, and chemicals called urea and uric acid. The kidneys produce it when filtering toxins and other bad substances from your blood.
The smell of urine is directly related to the volume and concentration of a variety of substances excreted by the kidneys. Normal urine contains a lot of water and has little to no odor. Urine that is highly concentrated with little water may have a strong smell of ammonia. This may cause addition stress and an unpleasant environment for people with urinary incontinence, family members and caregivers.

Many individuals dealing with urinary incontinence get dehydrated trying to reduce their consumption of liquids to reduce the volume of urine. Dehydration makes urine very concentrated resulting in a strong smell of ammonia.

Other influences on the smell of urine include foods eaten and medications (including vitamins and other supplements) that are being taken.

Odors in urine may also indicate a medical condition or disease including, but not necessarily limited to issues such as bladder infection, cystitis (bladder inflammation), congenital heart disease in adults, diabetic ketoacidosis (high levels of blood acids called keytones), gastointestinal-bladder fistula (abnormal connection between intestoines and the bladder), maple syrup urine disease (rare genetic disease that cases difficulty breaking down specific amino acids), metabolic disorder (a problem with the way your body converts the foods you eat into energy), type II diabeties (uncontrolled), and urinary tract infect (UTI). Causes shown here are commonly associated with this symptom. Work with your doctor or health care provider for an accurate diagnosis. Click here for helpful information on how to speak with your doctor or healthcare profession about incontinence

Many disposable incontinence products such as pads, adult diapers and protective underwear incorporate odor controlling features to help maintain a pleasant environment. These features include superabsorbent microbeads that absorb liquids and hold in smell. Many also have features that help inhibit bacterial growth with helps reduce odors and help maintain healthy skin.

Keeping incontinence products changed regularly and keeping skin in incontinence areas clean will also help manage offensive urine related odors.

There are also many odor reducing household sprays and room deodorizers that do more than simply cover up offensive odors. They attack the cause of biological odors rather than simply trying to overpower an offensive smell with a flowery or pleasant smell. Covering odors with another odor only lasts as long as the new odor stays stronger than the offensive odor. Biological odor eliminators for rooms will actually absorb and neutralize bad odors and prevent them from building up. Click here to go to room deodorizers to find one that is right for you.

Tuesday, April 12, 2016

Bladder Supports - Pessary Devices for Female Incontinence

A “pessary” is a device that is placed into the vagina to support the uterus or bladder and rectum. It is a firm ring that presses against the wall of the vagina and urethra to help decrease urine leakage. The size and type should be fitted to meet your individual needs and anatomy. A pessary is most commonly used to treat the prolapse of the uterus. It is also used for the treatment of stress urinary incontinence (SUI).

Poise Impressa Bladder Supports are non-absorbent bladder support products that are inserted into the vagina like a tampon that stops urinary stress incontinence in women before it happens. It gently lifts and gives support to the urethra (the tube above the vagina that leads urine out of the bladder. The support it adds helps prevent urine from leaking out.

There are many types of incontinence, and the Impressa Bladder Support is designed specifically for urinary stress incontinence (USI). USI is the type of incontinence that occurs when an unexpected leak of urine occurs when a women coughs, laughs, dances, sneezes or exercised.

Impressa Bladder Supports are disposable. They are thrown out in the trash after use. They are available in three sizes. There is also a sizing kit that included two Impressa Bladder Supports of each size to help you determine the correct size if you are unsure. 

Monday, March 28, 2016

Importance of Talking to Your Doctor about all Medicines and Over-the-Counter Supplements that you take

Advances in medicines, improvements to insurance and Medicare Part B plans, and an aging population has led to an increase in the amount of older Americans taking prescription drugs combined with over-the-counter drugs and supplements. These combinations could lead to serious side effects according to a new study. Their are potential dangers when mixing prescriptions drugs with over-the-counter medicines and supplements so these should be discussed in detail with your doctor.

CNN recently published the article "The Growing Danger of Mixing Prescription Drugs and Supplements” by Carina Storrs. The article contains information based on studies that show more older Americans are combining these drugs and simply not discussing them with their doctors or health care providers. With increases of usage it is more important than ever to discuss with your doctor any and all medicines, supplements and over-the-counter drugs that you are taking.

For example, Warfin is a popular prescription blood thinner. People may be taking it along with common over-the-counter fish oil supplements with Omega 3. The combinations of these two drugs has been found by researchers to be associated with an increased risk of bleeding.

Patients often times don’t tell their doctors about nonprescription drugs that they are taking. A common reason for not sharing this information is that the doctor might not have asked and the patient may not think it was important.

In order to make it easier to speak with your doctor or health care professional a detailed list should be made of all the drugs and over-the-counter medicines and supplements being taken. It might be even better to bring in the bottles or containers of all of the products to show your doctor.

It is also a good idea to speak with your doctor if you are taking any prescription or over-the-counter medicines and plan or want to explore other supplement options. This way you and your doctor or healthcare provider can work together to ensure you are taking medicines properly.

Tuesday, March 8, 2016

Introducing Tranquility EliteCare Adult Diapers with 44 Ounce Fluid Capacity

Introducing the new Tranquility EliteCare super absorbent line of adult diapers with 44 ounces of fluid capacity in each brief, regardless of size! Tranquility incontinence products are known for their superior comfort, quality and fluid absorption. The new EliteCare adult diapers take this to a new level.

The EliteCare Briefs are available to accommodate a wide range of sizes. They are available in Medium (32"-44 waist / hips), Large (45"-58" waist / hips), or X-Large (56"-64" waist / hips).

The EliteCare Briefs have a wide range of features to ensure comfort and patient dryness including:
  • PowerSorb micro layer to increase absorption without adding buld
  • Tranquility patented "Peach Mat Construction" blend of fast acting high retention absorbent polymers
  • Cloth-like protective outer layer
  • Micro-hook side tabs for perfect secure fit everytime
  • Kuffguards inner cuffs to help channel fluids into the briefs core 
  • Protection for urinary/bladder and/or fecal/bowel incontinence

Tranquility products for the care and comfort of adults with incontinence are renown for their superior comfort, fit and protection. The EliteCare Adult Diapers with 44 fluid ounces (1300 mL) retention capacity in all sizes takes protection to a whole new level.

Tranquility EliteCare Adult Diapers are scheduled to start shipping in mid-to-late March 2016.

Monday, February 29, 2016

Why does Diabetes Cause Incontinence?

Diabetes is a group of diseases that result in too much sugar in the blood, or high blood glucose. It is a metabolic disease in which the body has an inability to produce any or enough insulin that causes the elevated levels of glucose in the blood.   

The most common types of diabetes are:
  • Type 2 diabetes - a chronic condition that affects the way the body processes blood sugar (glucose).
  • Type 1 diabetes - a chronic condition in which the pancreas produces little or no insulin.
  • Prediabetes - a condition in which blood sugar is high, but not high enough to be type 2 diabetes.
  • Gestational diabetes - a form of high blood sugar affecting pregnant women.

The CDC report “2014 National Diabetes Statistic Report” states that there are 29.1 million people in the US with diabetes. That is 9.3% of the population. This group consists of 21.0 million people that are diagnosed and 8.1 million people that are undiagnosed. The undiagnosed portion of people with diabetes represents 27.8% of people with diabetes.

Type 2 diabetes used to be called adult-onset or non insulin-dependent diabetes) is the most common form of diabetes with about 95% of people with diabetes in the US having this type according to the Simon Foundation for Continence. You can find an article on their web site by Medical Reviewer Shanna Atnip, MSN, WHNP-BC titled “about incontinence Continence - Contributing Factors - Diabetes that has a wealth of information  including the following details regarding the causes and impacts of diabetes in relationship to incontinence.

Diabetes causes the body to have too much glucose, also called blood sugar. Too much glucose will damage the body over time. Diabetes cannot be cured, but type 2 diabetes can be managed with the help of your healthcare professional through diet, exercise and maintaining a health weight. If diet and exercise do not bring blood sugar into a health y range your healthcare professional will discuss the need for medication or insulin therapy.

Type 2 diabetes increases the risk and severity of urinary and fecal incontinence. Unhealthy weight often associated with type 2 diabetes can cause incontinence from the increased weight placed on the pelvic floor muscles.

One of the symptoms of diabetes is frequent urination (Please note there are many other symptoms). This happens because excess glucose is building up in the blood stream causing fluid to be pulled from tissues resulting in the individual being thirsty. As a result, a person will drink more fluids to attempt to quench thirst. At the same time the body is trying to get rid of excess glucose by excreting it out in urine. The result is large increases of the amount of urine produced by the body.

Diabetes can also lead to nerve damage. Nerve damage includes nerves to the bladder or bowel, lungs, heart, stomach, and sex organs. Nerve damage may lead to changes in the bladder function.

Changes in bladder function caused by nerve damage include:
  • Overactive bladder (OAD) which may lead to urgency to urinate and urge urinary incontinence (UUI)
  • Decreased bladder sensation which leads to little or no warning before feeling the urge to urinate which may lead to incontinence episodes.
  • People with severe or longstanding diabetes may have bladder muscles that have been weakened because the bladder is not completely emptied each time of urination. The left over urine in the bladder may lead to a urinary tract infection (UTI). In severe cases the bladder will not contract causing overflow incontinence. UTI’s also cause increased frequency to urinate and the urgency of urination.
  • Diabetic women or women who develop gestational diabetes may suffer injuries to the perineum and bladder, particularly to the sphincter controlling the mouth of the bladder during childbirth that may result in retention of urine in the bladder or incontinence.
  • Congestive heart failure (CHF) from diabetes related coronary artery disease can cause legs and feet to retain water resulting in the creation of too much urine in the night.
  • Stroke from diabetes may affect bladder sensation and the ability to hold back from urinating.
  • Mobility changes due to diabetic neuropathy, peripheral vascular disease and amputation may prevent a person from reaching a toilet in time resulting in leakage.
  • Some medications for the treatment of diabetes or the  treatment of the complications of diabetes can impair continence.

As you can see there are many reasons why diabetes can impact or cause bladder or bowel incontinence. Your healthcare provider can help you work on a plan to address the symptoms and issues.

This article is about the details behind diabetes and how it may cause incontinence and should not be considered for any diagnosis, treatment or cure of diabetes. Please consult a doctor or medical professional with any questions or concerns you may have regarding diabetes or any other health issue or disease. Tell your healthcare provider of you are experiencing frequent or urgent urination, having to get up more than once a night, or are having any incontinence episodes. Any changes with toileting habits should be discussed with your healthcare provider. For tips on how to speak with your healthcare provider click here.

Incontinence Products Plus offers a wide range of incontinence products to help individuals stay dry, healthy and comfortable.